Does Need for a Frenectomy Disqualify Me from Invisalign?

Question

I was told multiple things by different dentists and I don't know which is true. I was told that: 1) I can't use Invisalign because my top, front gap is caused by the frenum, and traditional braces are necessary to overcome that. 2) I can use Invisalign, and there are no special needs. 3) I should have the frenectomy at the beginning of treatment or the teeth won't move. 4) I should have the frenectomy at the end of treatment because scar tissue can prevent the gap from being closed.

Lance Timmerman, DMD, MAGD · Answer

For many, the reason they seek orthodontic treatment is due to their gap between their front teeth and a common reason for a gap is the pressure exerted from a frenum attachment.  Opinions vary on when to do a frenectomy, but I prefer to do them before treatment.  The pressure is removed and it becomes easier for the teeth to move.  Teeth will still move if the frenectomy isn't done until the end, but it may make the treatment last longer.  If the frenectomy is NEVER done, the gap is likely to appear again after treatment

Michael J. Thomas, DDS · Answer

There,,,your mystery is solved..The frenectomy will heal in about a week,then you can do the molds of your teeth for invisalign which will be able to close the gap.. Dont do traditional braces,they are hard to live with and can cause gum disease and enamel damage. Invisalign is much easier to wear.

Pamela Marzban, DDS · Answer

Both procedures will work together, from experience , the best recommendation is to do the frenectomy first. Wait for everything to heal nicely and then get started with Invisalign. After braces are done you will wear retainers every night to keep your smile beautiful and straight.

Jacqueline Demko, DDS, MSD · Answer

Heck NO. It just means you and your Orthodontist and periodontist(or whomever is preforming your frenctomy) will need to be very coordinated to ensure the best results for your particular case and that is is cost and time efficient.

Scott LeSueur, DDS · Answer

Frenums do not preclude Invisalign therapy in most cases.  The frenum  does need to be modified to allow the teeth to move easier and stay together after treatment.  Definitely better to do the frenectomy at the beginning of treatment I would recommend.  Your orthodontic care giver and your dentist should work together on this if they are different people.  Good luck!

Does Need for a Frenectomy Disqualify Me from Invisalign?

Answers (6)

Answer: Frenectomy with Invisalign

Answer: Frenectomy with Invisalign

Answer: Frenums and Invisalign therapy

Answer: Frenums and Invisalign therapy

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Does Need for a Frenectomy Disqualify Me from Invisalign?

Answers (6)

Answer: Frenectomy with Invisalign

Answer: Frenectomy with Invisalign

Answer: Frenums and Invisalign therapy

Answer: Frenums and Invisalign therapy

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Recommended reading

Everything you need to know about Invisalign

Our mission is to create a world where every investment in modern beauty is Worth It.